| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,862.00 | $3,509.00 | $7,674.00 | |
Anthem BCBS
| Facility | $4,452.00 | $5,379.00 | $11,683.30 | |
Hometown Health
| Professional | $11.12 | $486.30 | $716.94 | |
United
| Facility | $1,642.00 | $3,060.00 | $9,042.00 |